ArticleJournal of the American Board of Family Medicine : JABFM
Practice Facilitator Strategies for Addressing Electronic Health Record Data Challenges for Quality Improvement: EvidenceNOW.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02560428 (Evaluating System Change to Advance Learning and Take Evidence to Scale), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES)
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Federal Investment in Primary Care Transformation: A Systematic Review and Qualitative Analysis.JAMA health forum · 2025Pooled it
- Trial
- Attributes of High-Performing Small Practices in a Guideline Implementation: A Multiple-Case Study.Journal of primary care & community healthTrial
- Implementation of Communication Disability Documentation and Accommodations in Primary Care: A Pragmatic Type III Hybrid Implementation-Effectiveness Trial Protocol.Journal of speech, language, and hearing research : JSLHR · 2026Article
- Mechanisms of practice facilitation identified using system dynamics diagramming in a tailored implementation study of unhealthy alcohol screening and treatment in primary care.Implementation science communications · 2026Article
- Comparing the effectiveness of implementation strategies to improve liver and colon cancer screening for Veterans: protocol for a large cluster-randomized implementation study.Implementation science : IS · 2025Article
- Challenges using electronic health records to support unhealthy alcohol use screening and intervention in primary care practices in the Pacific Northwest.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Organizational characteristics associated with sustained participation in internal quality improvement: Findings from two waves of a national sample of physician practices in the United States.Social science & medicine (1982) · 2025Article
- Correlation Aware Relevance-Based Semantic Index for Clinical Big Data Repository.Journal of imaging informatics in medicine · 2024Article
- Implementation Strategies Used by Facilitators to Improve Control of Cardiovascular Risk Factors in Primary Care.Journal of the American Board of Family Medicine : JABFM · 2024Article
- Augmenting project ECHO for opioid use disorder with data-informed quality improvement.Addiction science & clinical practice · 2023Article
- Barriers and facilitators to the implementation and adoption of improvement coaching: A qualitative evidence synthesis.Journal of clinical nursing · 2023Review
- Findings and lessons learnt implementing a cardiovascular disease quality improvement program in Australian primary care: a mixed method evaluation.BMC health services research · 2022Article
- Establishing Trust in Pharmaceutical Data with an Independent Verification and Validation Methodology.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Article
- A practice facilitation-guided intervention in primary care settings to reduce cardiovascular disease risk: a cost analysis.Implementation science communications · 2021Article
- Optimizing health IT to improve health system performance: A work in progress.Healthcare (Amsterdam, Netherlands) · 2020Article
- Implementation of Community-Based Resource Referrals for Cardiovascular Disease Self-Management.Annals of family medicine · 2020Article
- How Practice Facilitation Strategies Differ by Practice Context.Journal of general internal medicine · 2020Article
- Article
- Clinician Perspectives on the Benefits of Practice Facilitation for Small Primary Care Practices.Annals of family medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
purposePractice facilitators ("facilitators") can play an important role in supporting primary care practices in performing quality improvement (QI), but they need complete and accurate clinical performance data from practices' electronic health records (EHR) to help them set improvement priorities, guide clinical change, and monitor progress. Here, we describe the strategies facilitators use to help practices perform QI when complete or accurate performance data are not available.
methodsSeven regional cooperatives enrolled approximately 1500 small-to-medium-sized primary care practices and 136 facilitators in EvidenceNOW, the Agency for Healthcare Research and Quality's initiative to improve cardiovascular preventive services. The national evaluation team analyzed qualitative data from online diaries, site visit field notes, and interviews to discover how facilitators worked with practices on EHR data challenges to obtain and use data for QI.
resultsWe found facilitators faced practice-level EHR data challenges, such as a lack of clinical performance data, partial or incomplete clinical performance data, and inaccurate clinical performance data. We found that facilitators responded to these challenges, respectively, by using other data sources or tools to fill in for missing data, approximating performance reports and generating patient lists, and teaching practices how to document care and confirm performance measures. In addition, facilitators helped practices communicate with EHR vendors or health systems in requesting data they needed. Overall, facilitators tailored strategies to fit the individual practice and helped build data skills and trust.
conclusionFacilitators can use a range of strategies to help practices perform data-driven QI when performance data are inaccurate, incomplete, or missing. Support is necessary to help practices, particularly those with EHR data challenges, build their capacity for conducting data-driven QI that is required of them for participating in practice transformation and performance-based payment programs. It is questionable how practices with data challenges will perform in programs without this kind of support.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.